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    Trends in referrals to liaison psychiatry teams from UK emergency departments for patients over 65

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    Author
    Junaid, Kehinde
    Mittal, Shweta
    Keyword
    Hospital emergency service
    Aging
    Self-injurious behaviour
    Suicide
    Mental health
    Mood disorders
    Date
    2021
    
    Metadata
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    DOI
    10.1002/gps.5547
    Publisher's URL
    https://onlinelibrary.wiley.com/doi/epdf/10.1002/gps.5547
    Abstract
    Introduction: The number of people over the age of 65 attending Emergency Departments (ED) in the United Kingdom (UK) is increasing. Those who attend with a mental health related problem may be referred to liaison psychiatry for assessment. Improving responsiveness and integration of liaison psychiatry in general hospital settings is a national priority. To do this psychiatry teams must be adequately resourced and organised. However, it is unknown how trends in the number and type referrals of older people to liaison psychiatry teams by EDs are changing, making this difficult. Method(s): We performed a national multi-centre retrospective service evaluation, analysing existing psychiatry referral data from EDs of people over 65. We described trends in the number, rate, age, mental health presentation, and time taken to assessment over a 7 years period. Result(s): Referral data from 28 EDs across England and Scotland were analysed (n = 18,828 referrals). There was a general trend towards increasing numbers of people referred to liaison psychiatry year on year. Variability in referral numbers between different departments, ranged from 0.1 to 24.3 per 1000 ED attendances. The most common reasons for referral were mood disorders, self-harm and suicidal ideas. The majority of referrals were assessed within 60 min, however there is variability between departments, some recording waits over 11 h. Discussion(s): The data suggests great inter-departmental variability in referral numbers. Is not possible to establish the cause of variability. However, the data highlights the importance of asking further questions about why the differences exist, and the impact that has on patient care.
    Citation
    Crowther, G., Chinnasamy, M., Bradbury, S., Shaw, L., Ormerod, S., Wilkinson, A., Chubb, R., Daher, M., Kumar, P., Gaskin, A., et al. (2021). Trends in referrals to liaison psychiatry teams from UK emergency departments for patients over 65. International Journal of Geriatric Psychiatry, 36(9), pp. 1415-1422.
    URI
    http://hdl.handle.net/20.500.12904/14740
    Collections
    Mental Health and Behavioural Conditions: General and Other

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